0001161697-20-000576.txt : 20201221
0001161697-20-000576.hdr.sgml : 20201221
20201221160322
ACCESSION NUMBER: 0001161697-20-000576
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201215
FILED AS OF DATE: 20201221
DATE AS OF CHANGE: 20201221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ERICKSON RONALD P
CENTRAL INDEX KEY: 0001140319
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-30262
FILM NUMBER: 201404375
MAIL ADDRESS:
STREET 1: 9437 NE CORAL COURT
CITY: BAINBRIDGE ISLAND
STATE: WA
ZIP: 98110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: KNOW LABS, INC.
CENTRAL INDEX KEY: 0001074828
STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829]
IRS NUMBER: 900273142
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 500 UNION STREET
STREET 2: SUITE 810
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: 206-903-1351
MAIL ADDRESS:
STREET 1: 500 UNION STREET
STREET 2: SUITE 810
CITY: SEATTLE
STATE: WA
ZIP: 98101
FORMER COMPANY:
FORMER CONFORMED NAME: VISUALANT INC
DATE OF NAME CHANGE: 20070220
FORMER COMPANY:
FORMER CONFORMED NAME: Visualant, INC
DATE OF NAME CHANGE: 20050106
FORMER COMPANY:
FORMER CONFORMED NAME: STARBERRYS CORP
DATE OF NAME CHANGE: 20020918
4
1
form_4.xml
FORM 4 FOR 12-15-2020
X0306
4
2020-12-15
0
0001074828
KNOW LABS, INC.
KNWN
0001140319
ERICKSON RONALD P
500 UNION STREET
SUITE 810
SEATTLE
WA
98101
1
0
0
1
Chairman
Common Stock
520934
D
Common Stock
3334
I
.
Common Stock
1467
I
.
Common Stock
20335
I
.
Common Stock
910001
I
.
Common Stock
2014
I
.
Warrant to Purchase Common Stock
0.50
2018-01-31
2023-01-31
Common Stock
855000
855000
D
Warrant to Purchase Common Stock
0.50
2018-03-16
2023-03-16
Common Stock
1039666
1039666
I
.
Option to Purchase Common Stock
1.10
2024-11-04
Common Stock
1200000
1200000
D
Warrant to Purchase Common Stock
1.53
2020-12-15
4
A
0
2000000
0
A
2020-12-15
2025-12-15
Common Stock
2000000
2000000
D
Option to Purchase Common Stock
1.53
2020-12-15
4
A
0
3731350
0
A
2025-12-15
Common Stock
3731350
3731350
D
Held by Dia Armenta, the Reporting Person's wife.
Held by Ronald Erickson, the Reporting Person and Dia Armenta, the Reporting Person's wife.
Held by Juliz Limited Partnership- Family LP.
Held by J3E2A2Z Limited Partnership.
Held by Cerillion N4, an entity that is 50% owned by Dia Armenta, the Reporting Person's wife.
Price subject to adjustment.
Option shares vest upon the Company's successful listing of its Common Stock on Nasdaq or the New York Stock Exchange (including the NYSE American Market).
Milestone-based Option shares vest upon the Company's successful milestone achievements set forth in two Stock Option Agreements dated 12/15/2020.
/s/ Ronald P. Erickson
2020-12-18